Kappa Kappa Psi/Tau Beta Sigma

Academic Achievement Award

Application

 

 

INSTRUCTIONS: TYPE ALL INFORMATION (except signatures!) IN THE GRAY SHADED FIELDS. USE THE ‘TAB’ KEY TO MOVE BETWEEN FIELDS. Please attach a copy of your grade report(s) to this application. Applications may be submitted up to 6 months after the academic term being applied for.

 

  KKY                                            TBS

 

Chapter:                                                                      School:      

 

Member’s name as it should appear on certificate:      

 

Class Standing:                                                            Major:      

 

Term applied for:                                                         GPA during last term:      

 

Indicate which award is being applied for (please submit a separate application for each type):

 

                    Top Chapter Scholar (highest GPA in chapter for the academic term applied for)

 

                    Outstanding Academic Achievement Award (GPA 3.5 or better out of a 4.0 scale)

 

                    Chapter Certificate of Excellence in Academics (average GPA of 2.75 or better for all members) 

                        Chapter must submit copies of official grade reports from ALL members for the term applied for.

 

Note: an individual will receive either a Top Chapter Scholar award or an Outstanding Academic Achievement award, but not both. Pass/fail courses or courses for which no grade is given, i.e., cooperative work programs or internships, will not be counted for purposes of computing grade point averages.

 

 

 

Name of Contact Person:      

 

Phone Number:                   

 

Email:         

 

Applicant’s Signature:_________________________________________________________________________

 

Chapter President’s Signature:___________________________________________________________________ __________________________________________________________________________________________

 

Chapter Sponsor’s Signature:____________________________________________________________________

 

 

 

Return Completed Form to:

Kappa Kappa Psi/Tau Beta Sigma National Headquarters, P.O. Box 849, Stillwater, OK  74076-0849

Hosted by www.Geocities.ws

1